- Evolent (Sacramento, CA)
- …Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- The County of Los Angeles (Los Angeles, CA)
- …product specialists to discuss current market conditions, managed care implications, disease state management , and obtain information to implement cost ... by assisting in the establishment of criteria for cost effectiveness/control utilization use, process indicators, and monitoring parameters; conducts evaluations to… more
- LA Care Health Plan (Los Angeles, CA)
- …Analytics required. Functional knowledge of Utilization Management , Care Management , Clinical Case Management , Disease Management preferred. ... Thrasys) required. Functional knowledge of Utilization Management , Care Management , Clinical Case Management , Disease Management required.… more
- Deloitte (Los Angeles, CA)
- …to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management , Finance, Revenue Cycle, and Coders + Other skills include the ... to ensure regulatory compliance + Apply knowledge of medical terminology, disease conditions and procedures to evaluate clinical documents + Monitor diagnoses,… more
- CVS Health (Sacramento, CA)
- …Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible ... interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing… more
- The County of Los Angeles (Los Angeles, CA)
- …+ Nursing Administration + Nursing Education + Health Science + Healthcare Management + Healthcare Education + Healthcare Administration + Public Health (for ... + Nursing Administration + Nursing Education + Health Science + Healthcare Management + Healthcare Education + Healthcare Administration + Public Health (for… more
- Amgen (Thousand Oaks, CA)
- …With our focus on four therapeutic areas -Oncology, Inflammation, General Medicine, and Rare Disease - we reach millions of patients each year. As a member of the ... and Equipment Maintenance and Calibration program applying CMMS (Computer Maintenance Management System). You will possess the ability to interact with various… more
- Cedars-Sinai (Los Angeles, CA)
- …responsible for managing budget, costing, timing and other resources including vendor management , staffing and/or deliverables to ensure utilization within the ... medicine. The Smidt Heart Institute reflects Cedars-Sinai's steadfast dedication to heart disease and research innovation giving patients access to the highest level… more
- Global Foundries (Santa Clara, CA)
- …manner + Work closely with FAEs, Customer Service Representatives, and Administration as a team to communicate information and maximize GlobalFoundries customer ... Accredited College and or University in Engineering, Technology, Business, Accounting, Finance, Management or Related Discipline + 5 Plus Years of Experience and… more
- City and County of San Francisco (San Francisco, CA)
- …the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration . The San Francisco Health Network is the City's only complete ... the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health… more